清化益肾汤治疗慢性肾盂肾炎的临床研究

【作者】 王冬燕；

【导师】 邬嘉琛；

【作者基本信息】 山东中医药大学 ， 中西医结合内科， 2001， 硕士

【摘要】 本文在中医理论指导下，据导师多年临床经验，对慢性肾盂肾炎（CPN）的病因病机和治则治法进行了系统的研究和探索，以寻求有效治疗方案。研究认为脾肾亏虚，湿热瘀血阻络是本病的主要病机，据此拟定补肾健脾，清热利湿活血之法，采用整体调节与局部作用相结合的方式，组清化益肾汤。试用清化益肾汤治疗慢性肾盂肾炎20例，设COSMZ治疗20例为对照组，结果表明：治疗组显效率为85％，总有效率95％；对照组显效率40％，总有效率80％。治疗组明显优于对照组（P＜0.05）。本研究丰富了中医药治疗慢性肾盂肾炎的理论内容，给临床提供了新的有效治疗方法。更多还原

【Abstract】 This article, Which following the theory of Traditional Chinese Medicine( TCM) and refering the clinical experience of my tutor, through the systematic study and inquiry about case, Pathogenesis, Therateupic principles and methods of chronic pyelonephritis, aims at the effective medicine for the ill. This study suggests the main pathogenesis of chronic pyelonephritis is asthenia of both spleen and kidney, companied with blood stasis and dampness ?heat, According to this, the treatment of nourishing the kidney and invigorating the spleen, removing blood stasis and promot- in$ blood circulation , eliminating dampness ?heat is draw up. The recipe, which absorbing the combined way of regulating body?s whole function, imploving the internal surroundings of kidney and affect the part of kidney din~ctly, of Qirig Hua Yishen decoction is prescribed. We use it to treat chronic pyelonephritis 20 cases and set up 20 cases with COSMZ as com- parative group . The result shows: the treating group?s obvious effectual rate is 85% , total effectual rate is 95% ; the comparative group?s obvious effec- tual rate is 40* ,The total effectual rate is 80% ,the treat group?s is obvi- ously better than the comparative group’s(P<0.05). This study riched the theoretic content of chronic pyelonephritis?s TCM treatment , and provided effective new medicine of clinic.更多还原